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Is there any difference? A prospective, multicenter, randomized, single blinded clinical trial, comparing TVT with TVT-O (POLTOS study) in management of stress urinary incontinence. Short-term outcomes

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Original Article

VOLUME: 31 ISSUE: 1

P: 5 - 9

March 2012

Is there any difference? A prospective, multicenter, randomized, single blinded clinical trial, comparing TVT with TVT-O (POLTOS study) in management of stress urinary incontinence. Short-term outcomes

Pelviperineology 2012;31(1):5-9

ARTUR J. JAKIMIUK ^1,2

WŁODZIMIERZ BARANOWSKI ⁴

1. Mossakowski Medical Research Centre, Polish Academy of Sciences, Warsaw, Poland

2. Department of Obstetrics and Gynecology, Central Clinical Hospital of Ministry of Interior and Administration, Warsaw, Poland

3. Department of Reproductive Health Research, Institute of Mother and Child, Warsaw, Poland

4. Department of Gynecology and Gynecological Oncology, Military Institute of Health Services, Warsaw, Poland

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ABSTRACT

Objective:

to compare effectiveness and safety of tension-free vaginal tape (TVT) and tension-free obturator tape (TVT-O) in surgical treatment of stress urinary incontinence (SUI).

Materials and Methods:

A prospective, multicenter, randomized, single blinded trial. 51 patients were screened and 35 patients were randomly allocated to either TVT (n=19) or TVT-O (n=16) group.

Results:

At 6 months’ followup, we demonstrated that TVT and TVT-O seems to be equally effective in surgical treatment of SUI. For estimated objective efficacy, pad and cough tests were performed. There were no statistical differences between two procedures. There were no statistical differences between two groups when comparing early (postoperative) and late complications. Average operation time was shorter for TVT-O group, with statistical significance difference between two procedures.

Conclusion:

There appears to be equal efficacy of TVT and TVT-O in surgical treatment of female SUI.

Keywords:

Transobturator tapes; Short term follow-up; Stress urinary incontinence; Suburethral tape.